go back

Utah rates for HCPCS 81404

Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis)

Facilitymedian $389 · 10th–90th $174–$5500%20%10th90th$389Professionalmedian $214 · 10th–90th $174–$3470%20%10th90th$214$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $389.05 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $288.40 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $295.12 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $1,122.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $245.47 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $575.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $239.88 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $275.42